ED Guidelines for Evaluation/Treatment of the Child with Migraine Headache

Triage

1 Critical 2 Acute 3-4 Urgent 5 Non-Urgent
Severe headache with focal neurologic findings:
  • Slurred speech
  • Nuchal rigidity
  • Atonia/hypotonia
  • Ataxia

THINK STROKE

Severe headache

3-Urgent

Headache not relieved by analgesics

Significant vomiting

4-Urgent

NA

Headache resolved

Goal

Patient disposition decision within 3 hours of room arrival.